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DS-DE 12 F4-07 Candidate's Treasurer Report LSFLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT D (1) LUIS SALOM 20~.~ ~,Q~F~E6e~D~Y v Y Name (2) 815 NORTH SHORE DRIVE ~ ~T~, , rnu~S t!r~l~' Address (number and street) MIAMI BEACH, FL 33141 City, State, Zip Code ^ CHECK IF ADDRESS HAS CHANGED (3) ID Number: 00000 (4) Check appropriate box(es): /^ Candidate (office sought): MIAMI BEACH CITY COMMISSION GROUP IV ^ Political Committee ^ CHECK IF PC HAS DISBANDED ^ Committee of Continuous Existence ^ CHECK IF CCE HAS DISBANDED ^ Party Executive Committee ^ Electioneering Communication ^ CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From 10 / 13 / o~ To 11 / of / o~ Report Type F4-o~ ~ Original ^ Amendment ^ Special Election Report ^ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash & Checks $ 31, 5 5 0.0 0 Expenditures $ 7 4 , 2 91.31 Loans $ 2 5 , 0 0 0.0 0 Transfers to Office Account $ Total Monetary $ 55, 550.00 Total Monetary $ _ 7 4 , 2 91.31 In-Kind $ 1, 000.00 (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 259,863.10 $ 243,047.51 (11) CERTIFICATION It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) I certify that 1 have examined this report and it is true, I certify that I have examined this report and it is true, correc#, and complete. correct, and complete. (Type name --~ORIA SALOM (Type name) LUIS SALOM ^ Individ ^ 'surer Deputy Treasurer ^/ Candi hairperson (only for PC, PTY 8~ electioneeri O Bring commun. organization) X ~.___.._~_.~ Signature Signature CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Neme LUIS SALOM (2) I.D. Number 00000 (3) Cover Period 10 / 13 / 0 7 through 11 / o l / 0 7 (4) Page 2 of (5) (~ (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In-kind Number Ci ,State, Zi Code T OCCU tion T e Descri bon Amendment Amount Salman Ventures B Real CHE 500.00 10 16 07 1534 Mantua Ave Estate ~ X Coral Gables FL , 33146 00463 Lori Gold 3 I Business CHE 200.00 10 ~ 16 ~ 07 Island Ave woman Miami Beach, FL 33139 00464 Leonard Diamond I Business CHE 500.00 07 10 19 3301 Flamingo Dr man ~ ~ Miami Beach FL , 33140 00465 Arc Equity B Mtg Co CHE 500.00 10 07 19 Funding 2950 ~ ~ SW 27th Ave Miami, FL 33133 00466 American Realty B Real CHE 500.00 10 ~ 19 ~ 07 2950 SW 27th Ave FL 33133 Mi i Estate am , 00467 Table 8 South B Restaura CHE 500.00 10 07 19 Beach 1501 nt ~ / Collins Ave Miami Beach, FL 33139 00468 Rok, LLC 1905 B Ent. CHE 500.00 10 19 07 Collins Av Miami ~ ~ Beach FL 33139 , 00469 Mynt Holding Co B Ent. CHE 500.00 10 19 07 235 Lincoln Rd ~ ~ Mi i B h FL am eac , 33139 00470 DS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES~A ~,~ ` ~~~ CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name LUIS SALOM (2) I.D. Number 00000 (3) Cover Period l o / 13 / 0 7 through 11 / o l / 0 7 (4) Page 3 of (5) (~ (8) (9) (10) (~~) (12) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In-kind Number Ci ,State, Zi Code T OCCU ation T e Descri tion Amendment Amount Mama Vieja d/b/a B Rest/ CHE 500.00 10 19 07 Mokai 235 23rd Louge X ~ street Miami Beach, FL 33139 00471 RPZ Entertainment B Ent. CHE 500.00 10 ~ 19 ~ 07 235 Lincoln Rd i Beach, FL Miam 33137 00472 KNR Lincoln DBA B Rest. CHE 500.00 10 19 07 4uattro 1014 ~ ~ Lincoln Rd Miami Beach, FL 33139 00473 Luis Puig 2710 I Business CHE 500.00 07 10 19 5W 31st Ave Miami, man ~ ~ FL 33133 00474 Hialeah Fire Pac C Union CHE 500.00 10 ~ 19 r 07 Hialeah, FL 00475 Mantra Ent. Gr B Ent. CHE 250.00 10 07 19 1437 Washington ~ ~ Ave Miami Beach , FL 33139 00476 S.FL Council of C Union CHE 250.00 10 19 07 Fire Fighters ~ ~ 8000 NW 21st St . 00477 Doral, FL 33122 Howard Kaplan I Business CHE 500.00 10 / 19 ~ 07 20023 NE 19th PL man Miami Bch N FL , . 33179 00478 DS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ~~~ 3 -~~ CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name LUIS SALOM (2) I.D. Number 00000 (3) Cover Period 10 / 13 / ° 7 through 11 / 01 / 0 7 (4) Page ~ of (5) (~ (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In-kind Number Ci ,State Zi Code T Occu ation T Destxi tion amendment Amount Devito's 150 B Rest. INK Food & Bev. 500.00 10 / 24 107 cean Dr Miami FL 33139 Beach , 00479 Trustmar, Inc. B Investme CHE 500.00 10 / 25 / 07 3228 NE 14th St. t Pompano Beach, FL 33062 00480 Thirteen B Mtg. CHE 500.00 25 07 10 Morningside, LLC / / 2950 SW 27th Ave Miami, FL 33133 00481 Grove B Mgmt Co CHE 500.00 07 i0 25 Professional Bldg / / 50 SW 27th Ave Miami, FL 33133 00482 ichard Lydecker I Atty. CHE 500.00 10 / 25 / 07 4835 Lakeview Dr i B FL Mi h am eac , 33140 00483 Isabell Lydecker I Veterina CHE 500.00 10 07 25 4835 Lakeview Dr rian 1 / Miami Beach FL , 33140 00484 Tembo Management B Mgmt. CHE 500.00 10 25 07 d/b/d the Fifth 1 1 1045 5th Street 00485 Miami Beach, FL 33139 Gerald K. I Atty. CHE 500.00 10 25 07 Schwartz 407 / / Lincoln Rd Miami Beach, FL 33139 00485 OS-DE 13 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES~~ CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name LUIS SALOM (2) I.D. Number 00000 (3) Cover Period to / 13 / 07 through 11 / of / 07 (4) Page 5 of (g) (7) (8) (9) (1 0) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In-kind Number Ci State Zi Code T Occu anon T e Descri don Amendment Amount Tamara Gonzalez I Model INK Food & Bev. 500.00 25 07 10 1415 Euclid Dr 1 / FL Miami Beach , 33139 00487 Guis Salom 815 I Business LOA 25,000.00 10 ~ 26 / 07 Shore Dr. Miami 33141 man Beach, FL 00488 Dalila Tromberg I Homemake CHE 200.00 10 26 07 1575 Stillwater Dr r ~ / Miami Beach FL , 33141 00489 Jordan I Business CHE 500.00 07 10 26 Monocandilos 701 man / / Mashta Dr Ke N . y Biscayne, FL 33149 00490 Bernard Werner I Proj. CHE 500.00 10 ~ 26 / 07 101 Harbour Way B l H b FL Mgr. a ar our, 33154 00491 Jessica Hernandez I Acct. CHE 500.00 07 10 26 2458 Westminister / / Dr Cocoa FL 32926 , 00992 Denise Soriano I Dir. of CHE 500.00 10 26 07 16005 Kingsmoor Dvlpmt ~ 1 Wa Miami Lakes , y 00493 FL 33014 Adianes Sosa I Controll CHE 500.00 10 26 07 13218 NW 4th Ter er ~ / Miami FL 33182 , 00494 DS-DE 13 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ~~ ~ n CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name LUIS SALOM (2) I.D. Number 00000 (3) Cover Period l o / 13 / 0 7 through i l / 01 / 07 (4) Page 6 of (5) (~ (8) (9) (10) (11) (12) Date Fuli Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In-kind Number Ci ,State Zi Code T Occu anon T Descri tion amendment Amount Jeffrey Graff I Executiv CHE 500.00 07 26 10 5080 Alton Rd a VP 1 ~ FL Miami Beach , 33140 00495 ark Burgin 21110 i COO CHE 500.00 10 1 26 / 07 ~ 21st P1 Miami, 33179 FL 00496 Miguel Durand 540 I Proj. CHE 500.00 26 07 10 Brickell Key Mgr / / FL 33131 Miami , 00497 lan Amdur 109 2nd I Exec. CHE 500.00 10 ~ 26 ~ 07 Rivo Alto Terr Mgr FL Miami Beach , 33139 00498 Lissette Vargas I Dvlp.. CHE 500.00 10 ~ 26 / 07 1725 James Ave Assoc. FL Mi i B h am eac , 33139 00499 ee Brothers 2458 I AP Glerk CHE 500.00 10 07 26 Westminister Dr / 1 FL 32926 Cocoa , 00500 Winston Curtis I Business CHE 500.00 10 29 07 850 N. Miami Ave man ~ ~ Miami FL 33136 , 00501 Serrano Paving B Paving CHE 500.00 10 29 07 3117 W. 71st P1 Co. , / Hialeah FL 33018 , 00502 DS-DE 13 (Rsv. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ~~~ CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name LUIS SALOM (2) I.D. Number 00000 (3) Cover Period to / 13 / 07 through 11 / of / 07 (4) Page ~ of (5) (~ (8) (9) (10) (11) (12) Date Full Name (8) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In-kind Number Ci State Zi Code T Occu ation T Descri tion Amendment Amount Ronald Mayer 4600 I Business CHE 100.00 07 10 31 Royal Palm Ave man X / Miami Beach FL , 33140 00503 Timothy Lincoln I Atty. CHE 500.00 10 ~ 31 1 07 450 NE 52nd Terr i , FL 33137 Miam 00504 Laura M. Mudd 450 I Business CHE 500.00 31 07 10 NE 52nd Terr woman 1 / Miami FL 33137 , 00505 Lincoln Esq. 46 B Law CHE 500.00 07 10 31 NE 6th Street Office ~ / FL 33132 Miami , 00506 Republican Party P Politica CHE 500.00 10 / 31 / 07 of Miami-Dade St t A t 1 Party a e ccoun 00507 OMPU Const. Corp. B Const. CHE 500.00 10 07 31 6960 NW 42nd St. / ~ Miami FL 33166 , 00508 Alex Tiie Corp B Tile CHE 500.00 10 31 07 6960 I+iW 42nd ~ ~ Street Miami FL , 00509 33166 Precision B Tile Co CHE 500.00 10 31 07 tonework Of Miami / ~ 6960 DiW 42nd St Miami, FL 33166 00510 DS-DE 13 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ~~ ~ ~ ~ CAMPAIGN TREASURER'S REPORT - ITEMItED CONTRIBUTIONS (1) Name LUIS SALOM (2) I.D. Number (3) Cover Period 10 / 31 / 07 through 11 / O1 / 07 (4) Page 00000 $ of (5) (~ (8) (9) (10) (~~) (12) Date Full Name (f3) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In-kind Number Ci State Zi Code T Occu tion T e Descri tion Amendment Amount PMC Holdings 300 B Real CHE 500.00 07 10 31 Aragon Ave Coral Estate X ~ FL 33134 Gables , 00511 ROSa Rodriguez I School CHE 500.00 10 ~ 31 ~ 07 4135 S.W. 84 Ct 33155 i i Teacher am , FL M 00512 Alex Mendoza I Gen. CHE 500.00 31 07 10 8420 SW 104 St. Cont. ~ ~ FL 33156 Miami , 00513 ELL-GEE, Inc. B Entertai GHE 500.00 07 10 31 1527 Washington nment ~ ~ Ave Miami Beach , FL 33139 00514 Club Madonna 1527 B Club CHE 500.00 10 ~ 31 ~ 07 Washington Ave FL i h Mi am $eac , 33139 00515 Cynthia LLC 671 8 Jewlery CHE 100.00 07 11 Ol Washington Ave ~ ! Miami Beach FL , 33139 00516 1801 Purdy dba B Restaura CHE 100.00 it O1 07 Sardinia Rest. nt ~ ~ 1801 Purd Ave y 00517 Miami Beach, FL 33139 Sylvano Inc. 820 B Restaura CHE 100.00 it O1 07 Alton Rd. Miami nt ~ ~ Beach FL 33139 , 00518 DS-DE 73 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ~~~ n ~~~ CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name LUIS SALOM (2) I.D. Number 00000 (3) Cover Period 10 / 13 / O7 through 11 / 01 / a7 (4) Page 8 of (5) (~ (8) (9) (10) (11) (12) Date Fuil Name (6) (Last, Suffix, First, Middie) Sequence Street Address & Contributor Corrtribution In-kind Number C' ,State, Zi Code T Occu ation T Descri lion Amenament Amount alans, L.C. 1022 B Rest. CHE 100.00 01 A7 11 Lincoln Rd Miami ~ FL 33139 Beach , 00519 Marseilles Hotel B Hotel CHE 100.00 it ~ O1 ~ 07 1741 Collins Ave L i i Beac, F M am 33139 00520 SOBE Lincoln dba B Rest/ CHE 100.00 07 01 11 Score 727 Lounge ~ ~ Lincoln Rd Miami Beach, FL 33139 00521 Mango's Tropical B Retail! CHE 200.00 07 11 01 Cafe Retail Foods Foods ~ ~ 00 Ocean Dr Miami Beach, FL 33139 00522 SE Political & B Consulti CHE 500.00 it ~ 01 ~ 07 Campaign Consul. t 1504 M St ng ree ayo Hollywood, FL 00523 33020 is Frary-Jackson I Firefigh CHE 500.00 11 07 O1 1504 Mayo St ter ~ / Holl wood FL y , 33020 00524 Wilber Jackson I Firefigh CHE 500.00 11 O1 07 1504 Mayo Street ter ~ i Holl wood FL , y 0525 33020 Precision B Translat CHE 500.00 11 Ol 07 Translating Serv. ing Firm ~ ~ 150 W Fla ler 3t . . g Miami, FL 33130 00526 DS-DE 13 {Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ~~~ O ~ i 2 CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name LUIS SALOM (2) I.D. Number 00000 {3) Cover Period t o / 13 / 0 7 through i t / o l / 0 7 (4) Page 9 of (5) (~ (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In-kind Number C' State Zi Code T OCCU anon T Descri lion Amendment Amount Floridians for P Fed CHE 500.00 O1 X07 11 Accountable Gov. ~ 2390 Sunset Bluff Dr Jaccksonville, 00527 FL 32216 Alan Florez 312 I Acct. CHE 500.00 11 ~ O1 ~ 07 sun oacs Court FL k Exec. e Mary, La 32746 00528 Lydecker & Assoc. B Law CHE 500.00 07 O1 11 1201 Brickell Ave Offc. ~ ~ FL 33131 Miami , 00529 Lydecker, Lee, B Law CHE 500.00 07 11 O1 ehar, et.al. 1201 Offc. ~ ~ Brickell Ave Miami, FL 33131 00530 Little River B Studio CHE 500.00 11 ~ O1 ~ 07 Studis 300 NE 71 FL Mi i St am , . 33138 00531 Agustin Herran I Business CHE 500.00 07 11 O1 8500 SW 8th St man ~ ~ F1 33144 Miami , 00532 First SE Equities B Invest. CHE 500.00 11 O1 07 8500 SW 8th St ~ ~ Miami FL 33144 , 00533 Armando Guerra I Business CHE 500.00 ll 01 07 9686 SW 24th St man ~ ~ FL 33165 Miami , 00534 DS-DE 13 (Rev.0$/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ~~ i ® ~'~ CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name LUIS SALOM (2) I.D. Number 00000 (3) Cover Period to / 13 / 07 through 11 / of / 07 (4) Page 10 of (5) Date (7) Full Name (8) (9) (10) (11) (12) (6) Sequence Number (Last, Suffix, First, Middle) Street Address & Ci ,State Zi Code Contributor T e OCCU anon Contribution T In-kind Descri tion Amendment Amount 11 ~ O1 X07 Walfrido Pevida 8240 SW 34 Terr FL 33155 Miami I Engineer CHE 250.00 00527 , it ~ 01 ~ 07 Jacob Sopher 425 E 61st St New 10021 k i Business man CHE 500.00 00528 , NY Yor 11 ~ O1 ~ 07 Jonee Sopher 425 E 61 St New York, NY 10021 2 Hosewife CHE 500.00 00529 / I / I / I / I / / DS-QE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ~N{~ [ (~~ (`J CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES (1) Name_ Luls sALOM (2) I.D. Number_ 00000 (3) Cover Period 10 ~ 13 ~ 07 through l i ~ O1 ~ 07 (4) Page 11 of (7) (8) (9) (1 0) (11) (5) Date Full Name Purpose ht if ff (Last, SufFx, First, Middle) ice soug (add o (6) Street Address ~ contribution to a Ex nditure pe Sequence City, State, Zip Code candidate) Type Amendment Amount Number ?enta Graphics, Inc. 1982 NE Printing MON 2,948.83 , 0p ~ 5 /07 147th Terr N. Miami, Fl 33181 1086 :,esesne Media Group P.O. Box Adv. MON 2,400.00 10 16 7 4492 Hollywood, FL 33083 1087 dV Almer 1541 Brickell Ave Reim/food MON 120.00 10 17 07 Miami, F1 33129 1088 La Voz de Miami Beach P.O. Adv. MON 3,000.00 10 19 07 Box 140585 Coral Gables, FL 33114 1089 VTM Productions 407 Lincoln Adv. MON 300.00 10 19 07 Rd Miami Beach, FL 33139 1090 Garber & Goodman 300 41st Consult. MON 2,163.23 10 24 07 St Miami Beach, FL 33140 1091 Merin & Son's 16155 SW Consulting MON 46,798.00 10 24 07 117th Ave Miami, FL 33177 1092 oard of County Commissioners CD Roms MON 89.72 10 29 07 Miami-Dade County Florida 1093 DS-DE 14 {Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ~~-~ (~ CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES (1) Name_ Luzs sALOM (2) LD. Number_ 00000 (3) Cover Period l0 ~ 13 ~ 07 through it ~ O1 ~ 07 (4) Page 22 of (5) Date (7) Full Name (8) Purpose ht if ff (9) (10) (11) (8) Sequence Number (Last, Suffix, First, Middle) Stnet Address & City, State, Zip Code ice soug (add o contribution to a candidate) Expenditure TYpe Amendment Amount 10 Ll9 /07 1094 US Postal Serv. Normandy Branch, Miami Beach, FL 33141 Postage MON 54.53 11 1 7 4arin & Son's 16155 Sw 117th Ave Miami, FL 33177 Adv. MON 16,417.00 1095 DS-DE 14 (Rev. 08/03} SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES i 1 ~ '~ G6 j~